Chapter 6: Preoccupation and Obsession Flashcards
_________ ________ _________ is an anxiety disorder characterized by obsessions or compulsions or both.
obsessive compulsive disorder
_____ ______ _________ can be the most debilitating of the anxiety disorders.
obsessive compulsive disorder
Becky insists on having a perfectly manicured lawn, and the very thought of having uneven grass greatly upsets her. She spends several hours each day carefully measuring and cutting the grass on her lawn to ensure it is of uniform length. What is Becky struggling with?
A. Only a compulsion
B. Neither an obsession nor a compulsion
C. Only an obsession
D. Both an obsession and a compulsion
D. Both an obsession and a compulsion
What are the 4 subtypes of OCD?
- symmetry
- forbidden thoughts
- cleanliness and contamination
- hoarding
Jonas feels the need to make sure every electrical appliance is unplugged before he leaves the house so that the house does not catch on fire. He rechecks all of the electrical outlets five times before he feels comfortable enough to leave. What subtype of OCD is this?
Forbidden thoughts
Ms. Kelly owns 300 pairs of shoes and is very concerned with how they’re kept. She spends each morning in her closet, taking each box of shoes down and then centring and restacking it on the shelf. She performs the ritual three full times. What subtype of OCD is this?
Symmetry
Latasha always wears three pairs of socks when she leaves her home and scrubs her feet with a mixture of salt and baking soda when she returns home. What subtype of OCD is this?
Cleanliness and contamination
Ms. Young is so moved by seeing feral dogs and cats that she always takes them home. She is now the owner of more than 90 animals although she is on a fixed income and cannot afford to fully care for them. What type of OCD is this?
Hoarding
Forbidden thoughts and action types accounts for ___% of obsessions
21%
Symmetry accounts for ___% of obsessions
26.7%
Cleaning and contamination accounts for ___% of obsessions
15.9%
Hoarding counts for ___% of obsessions
15.4%
In childhood, OCD is diagnosed more frequently in ______, and in adulthood it is mostly diagnosed:
- males
- equally between females and males
A person with a mild phobia of pigs can usually avoid pigs pretty easily and thus not experience the fear or panic a pig would elicit. What is likely to happen if a person with obsessions attempts to avoid their intrusive thoughts or impulses?
A. They are likely to stop having the obsessions.
B. They are likely to successfully avoid the obsessions.
C. They are likely to develop completely new obsessions.
D. They are likely to develop compulsions.
D. They are likely to develop compulsions.
Research shows that attempts to suppress or neutralize an obsessive thought _________ its frequency
increases
What is a primary purpose of exposure and ritual prevention for OCD?
A. To prevent the patient from ever engaging in the ritualistic behaviours by making a surgical lesion to a part of the brain
B. To enable the patient to escape obsessions through the use of ritualistic behaviours
C. To help the patient learn that the thoughts are not dangerous and that the ritualistic behaviours do not help prevent danger
D. To help the patient improve ritualistic behaviours to make them more effective at preventing danger
C. To help the patient learn that the thoughts are not dangerous and that the ritualistic behaviours do not help prevent danger
How does exposure and ritual prevention treatment work for OCD?
a client is slowly exposed to feared thoughts and situations (obsessions) while being prevented from engaging in the ritualistic behaviours (compulsions) that the client believes will prevent harm or danger.
This allows the client to learn that the feared thoughts and situations can occur without any substantial harm, despite them not being able to engage in compulsive behaviour.
When it comes to body dysmorphic disorder, these folks tend to have ideas of reference. What does that mean?
they think that everything that goes on in their world is somehow related to them
what are the two treatments for BDD?
SSRI’s and CBT that involves exposure and response prevention
Does having surgery done to change one’s physical appearance reduce the psychological distress of BDD?
No, it does not reduce distress
What is a possible reason for the gender differences found with body dysmorphic disorder?
A. Differing neurotransmitter activity for men and women
B. The differing levels of education attained by men and women
C. Genetic differences between men and women
D. A greater cultural emphasis on genitals for men than for women
D. A greater cultural emphasis on genitals for men than for women
________ is a disorder where they engage in behaviour results in noticeable hair loss, distress, and significant social impairments.
Trichotillomania
________ is a disorder characterized by repetitive and compulsive picking of the skin, leading to tissue damage
Excoriation
Trichotillomania and Excoriation affect ___% of the population, and is more common in ______
- <5%
- females
What is the best line of treatment for Excoriation?
Habit reversal training. patients are carefully taught to be more aware of their repetitive behaviour, particularly as it is just about to begin, and to then substitute a different, reasonably pleasant but harmless behaviour (ie. chewing gum, applying lotion)
Trichotillomania occurs in __-__% of college students
1-5%
TRUE OR FALSE: Researchers have discovered genetic factors, including a specific mutation, that may contribute to trichotillomania
TRUE
When it comes to trichotillomania, which areas of the body are the 5 most common for hair pulling?
- scalp
- eyebrows
- face
- eyelashes
- pubic hair
TRUE OR FALSE: Some evidence suggests that SSRI’s can help with Excoriation
FALSE: it can help with trichotillomania, not excoriation
